簡易體能狀況量表SPPB

1、SHORT PHYSICAL PERFORMANCE BATTERY PROTOCOL AND SCORE SHEETA(i of the tejts should performed in the sam order as they are pressed 環(huán) ibis Drotocal. Instructions to the partkipants are shown in bold italic nnd shotflfi be exactly crj they are written iti thh script.九 BALANCE TESTSTtie participant must

2、 be able to tand jnassisted without the use of a cane or walker; Yau may help th£ participant tn get up.Nqw tetrs bgin the 芒買口luation. I wculd now tike you to try to move your boc/y in different movements I will first (/escribe and ihow each movement to you Then rd like you to try to do 比 Jf yo

3、ti cannot do a particular moveijjerrt, or if you feel it woutd be unsafe to try to do itf tell me and welt move on to th& n&xt one. Let mphasiM that I do not want you to try to do any exercise that y&u feel might be unsfife.Do you have any questhm we btgh?A. Side-by-Side Stand1. New I wi

4、lt show yoir the first movement.2. (De mon st ate； 1 wont you to try to itond with your feet together $ide-by-idef for about 101. You may u?e your trrms, bend your kneef or move your body to maintain your balance, but trynot to move ycitr feet. Tty to hoid this position untit I tell you to stop.4. S

5、tand next to the participant to heLp him/her into the iide-by-side position.5. Supply just enough support to tht participants arm to prevent lesi of bBhncc-.6. When the participant has his/her feet together ask MAre you ready1、Then let go and begin timing as you sayr "Rpdd如 begin-M8. Stop the s

6、topwatch and say "Stop" after 10 seconds or when the participantsteps out of position orgrb$ youi drm.9. If participant 譏 unable to hold the pnsitior for 10 $«rtDd record result and go to th? gait spppri rest.B* Semi-Tandem Stand1. Now / 審show you the second movement,2. (Demonstrate)

7、Now I want you to try ta stand with the side of the heei of one foot touching the big toe of the other foot for about 10 seconds You may put either foot in front, whichever is mere comfortable for you.3. You may use your arm$r bend ycur kneesf or meve your body t<j maintain your balance, but try

8、not to move your feet. Try to hold this position until I tetl you to stop4. Stand next to th電 participant to h電l卩 him/her into the semi-tand&m position5. Supply just enough support td the participant's arm to prevent Los ofbalance,6. When the parti ci pant has his/her feet together, ask MAre

9、 you ready?"7. Th喪n Let go and begin timing as you say Readyr begin.rr8. Stop the stopwatch and say Stoptf after 10 seconds or when the parti匚ipmnt steps out of position or grabs your arm.9. If participant is unabLe to hoLd the position for 10 seconds, record resuLt and go to the gait speed tes

10、t.C. Tandem Stand1. Now I will show you the third movement.2. (Demonstrate) Now I want you to try to stand with the heel of one foot in front of and touching the toes of the other foot for about 10 seconds. You may put either foot in fronts whichever is more comfortable for you.3. You may use your a

11、rmsf bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tetl you to stop.4. Stand next to thg participant to help him/her into the tandem position5. Supply just enough support to the participants arin to pnevert of bahnee,6.

12、When the particfpant has his/her feet together； ask MAre you reody?"7. Then let go and begin timing as you sayr 叩曲d# begin."8. Stop the stopwatch and say J'Stopff after 10 secarids or when the partidprit steps out of position or gabE your arm.SCORING:A. Si de-by-si de-standHeld for 10

13、secn 1 pointIf participant did not attempt test or failed, circle why:Not held for 10 sec 0 pointsTried but unable1Not attemptedPI 0 pointsParbcipant could not hold position unalisted2If 0 points end Balance TestsNot attemptedr you felt unsafe3Not attemptedr participant felt unsafe Participant unabL

14、e to understand4Number of seconds held ifinstructions5less than 10 $ec:.secOther (specif)6Partici pa rtt refused7B. Semi-Tandem StandHeld for 10 sec Not held for 10 secNot attemptedPI 1 point 0 pointsHI 0 point$ (drde reason above)If 0 points, end Balance TestsC. Tandem StandHeld for 10 secHeld for

15、3 to 9+99 secHeld far < than 3 secNot attemptedNumber of secorids held if less than W $ec： _ .secl 2 points 1 pointl 0 points"1 0 points (circle reason above)Number of seconds held if Less than 10 sec:.sec0. Total Balance Te$ts score(sum points)Co mments!2, GAIT SPEED TESTNow I am going to o

16、bserve haw you normally walk. If you use a cane or other walking aid and you feel you need it to walk a hort distance, then you may use it.A. First Gait Speed Test1. This is our walking course. I want yau to walk to the other end of the course at your usual speed, just as if you were watking dawn th

17、e street to go to the store,2+ Demonstrate the walk for the participant.3 Walk all the way past the other end of the tape before you stop. I will walk with you. Do you feet this would be safe?4” Hlave the participant stand with both feet touching th總 startirig line.5. When I want you to start, I wil

18、l say： "Readyr begin.When the participant acknowledges this instruction say: "Ready, begin.ff6. Press the $tart/stop button to start the stopwatch as the participant begins waLkinig.7. Walk behind and to the side of the participant8+ Stop timing when one of the participants feet is complet

19、ely acra&s the end line+乩 Second Gait Speed Test1. Now I want you to repeat the walk. Remember to walk at your usual pace, and go all the way past the other end of the course.2*Hlave the partici pant stand with both feet touching the starting line.3. When I want you to start, I will say: tJReady

20、f b旳in." When the participant acknowledges thisinstruction say： Mfieadyr begin.r,Press th 日 start/stop button to start th 日 wt op watch as the participant begins waLkl n.5. Walk behind and td 出電 side of the participant.6” Stop timing when one of the participant's fe亡t is completely across t

21、hp end Line.GAIT SPEED TEST SCORING;Length of waLk test caurse: Four meters 1Three meters OA. Time for First Gaft Speed Test (sec)1. TTme for 3 or 4 meterssec2. If parti ci pan t did not attempt tes t or faiLedT circle why:Tried but unable1Participant couLd not walk unassisted 1Not attempted, you fe

22、lt unsafe3Not attempted, participant felt unsafe 4Participant unable to understand instructions 5Other (Specify) 6Participant refused7Complete score sheet and go to chair stand test3. Aids for first walkNone Cane Other Com me nts:氐 Time for Second Gait Speed Test (sec)1, Time for 3 or 4 meters,sec2.

23、 If parti ci part t did not attempt tes t or failed, circle why：Tried but unable1Participant could not waLk unasEisted2Not at tempted, you felt unsafe3Not attempted, participant felt unsafe4Participant unable to understand instructions 5Other (Specify)6Participant refused73一Aids for second walkT+llJ

24、J+4 None Cane Tl Other 0What is the time for the faster of the two walks?Record the shorter cf the two times-$ecIf only 1 walk done, record that time.secIf the participant was unable to do the walk: Pl 0 paintsFar 4-Meter Walk:If time is more than 8.70 sec："I1pointIf time is 6,21 to 8.70 sec:2p

25、ointsIf time is 4.S2 to 6.2Q sec：l3pointsIf time is less than 482 sec:H4paintsFor 3-Meter WalkiIf time ismore thmn 6.52 sec:l1pointIF time is4.66 to 6.52 sec:2pointsIF tiime is3.£2 to 4.65 sec：SpointsIf tiime isless than 3.62 sec：34points3. CHAIR STAND TESTSingle Chair Stand1. letH do the ta$t

26、movftient test. Do you think it would be safe for you to try to stand tip from a chair without using your arms?2“ The next test measured the strength in your legs3. (Demonstrate 自nd explain the procedure.) First, fold your arms across your chest and sit so that your feet are an the floor; then stand

27、 up keeping your arms folded across your chests4. Please stand up keeping your arms folded across your chesL (Record reuLt).5. If partici pan t cannot rise without using arms, say uOkayf try to stand up using your arms. This is the end of their test. R亡匚ord result and go to the scoringRepeated Chair

28、 Stands1. Do you think it wouid be safe far you to try to stand up front a chair five times without using y&ur arms?2. (Demonstr日t亡 and explain the procedure): Please stand up straight as QUICKLY as you can five times, without stopping in betweent After standing up each time, sit down and then s

29、tand up againt Kep yt>ur arms folded dcrass your chests Uit be timing yau with 打 stopwatcht3+When the participant is properly seated, say: Ready? Stand and begin timing.丄Count out Loud as the participant arises each time, up to five5.Stopif participant becomes tiredorshortofbreath duringrepeatedc

30、hairstands.6xStopthe stopwatch when he/shehasstraightenmdupcompletely forthefifthtime.7. Alsostop: Ifparticipant uses his/her arms After 1 minute, if participant has not completed rise At yoiir discretion, if con匚eitiecI for participants safetyS. If the participant stops and appears to be fatigued b

31、efore completing the five stands, confirm this by asking "Can you continue?'1g. If partncipan t says "Yes/r continue timing. If parti ci pan t says JHNo/H stop and rese t the stopwatch.SCORINGSingle Chair Stand TestA. Safe to stand without helpB. Resjlts:Participant stood without using armsPartkipant used arms to standTest not completed¥凸Tl -* Go to Repeated Chair Stand Test -* End test; score as 0 point, -* End test; score ms 0 point.C. If partici pant did not attempt or failed, circLe why：Tried Mt unable1Participant could not stand unassisted2Not attemp